| NPI | 1194731604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A86768) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME96040) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2009-03-20 |